Individual
JASON MCCLELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1026 W ABRIENDO AVE, PUEBLO, CO 81004-1128
(719) 545-2746
Mailing address
1304 CHINOOK LN, PUEBLO, CO 81001-1851
(719) 545-2746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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